Osteochondral Talar Fracture Treated with Arthroscopic Reduction and Internal Fixation: A Case Report

Introduction: Arthroscopic reduction and internal fixation\ud (ARIF) is becoming a popular technique for the management of\ud articular fractures.\ud Case report: A 41 year old is admitted following an RTA with\ud a transverse fracture of the left fibula and an avulsed TCF of the\ud lateral cortex of the talus.\ud Management: Arthroscopic intervention from the anterior\ud portals and ORIF with LC-DCP was selected. There was a\ud Transchondral fracture (TCF) and 4 fragments measuring from 2-5\ud mm. All were removed. A larger TCF fragment was found to be\ud positioned posteriorly to the portals and inaccessible so a posterior\ud portal was opened so that the fragment could be dislodged, grasped\ud and removed from the anterior portal. The size of this fragment was\ud 9×11 mm. An uneventful ORIF of the fibular fracture was performed\ud with a 7 hole LC-DCP with combined locking and normal holes.\ud Discussion: Arthroscopic reduction and internal fixation may\ud cost more initially but in the long-term it may result in reduced costs\ud mainly associated with chronic conditions